Preparation for Fumigation List

The Fumigation Service Contract between Choice Pest Control (”Pest Control Company”) and ______(“Customer”) incorporates this Preparation for Fumigation List that addresses Customers pre and post fumigation duties. Pest Control Company is not responsible for any injuries or damages sustained by Customer for failing to comply with the Preparation for Fumigation List

These duties are as follows:

Preparation WARNING: DO NOT ENTER THE STRUTURE until a clearance notice has been posted stating that the Structure(s) has been 1. All people, plants, and animals, including birds and fish, must be cleared for entry. DO NOT TAMPER WITH ANY LOCKING DEVICES removed from the Structure(s). that have been placed by the fumigator. The fumigation crew will remove them all only after the Structure(s) has been cleared. 2. All medicine and tobacco must be removed from the Structure(s) Damage will result from the attempt to remove any of the locking or double bagged in special nylofume bags provided by Pest devices. Pest Control Company will not be responsible for the Control Company. replacement of any damaged locks resulting from Customer’s attempted removal. 3. All food products must be removed except for: food in airtight containers (such as unopened glass jars and canned goods). 17. A forty-eight (48) hour notice must be given to Food in the refrigerator and freezer must be removed or double reschedule the fumigation without having to pay a bagged in nylofume bags. All ice cubes must be discarded. rescheduling charge of $125.00. Automatic icemakers must be turned off during the fumigation procedure. 18. Other duties: ______4. With the exception of the refrigerator, all other appliances ______(especially those with a heating element, such as a stove, oven, ______toaster, dryer or a space heater), window air conditioning units, ______. stereos, televisions, computers, lamps and any other electrical devices should be unplugged. Reentry

5. Central air conditioning and heating systems must be turned off 19. Obtain keys to Structure(s) from fumigator. at the thermostat/control panel. 20. Discard any food items, medications or tobacco that was not 6. All interior and exterior lighting must be turned off. removed from the Structure(s) or double bagged in nylofume bags. 7. All pool, spa, irrigation systems and ornamental fountains must be turned off at their main power panel. 21. No pots or pans, linens or bedding material need to be washed after the fumigation because the gas leaves no residue. 8. All baby mattresses must be removed from the structure. All plastic coverings on mattresses and pillows must be removed. 22. Since the gas leaves no residual, crawling insects can re-enter All mattresses and pillows with permanent plastic coverings must your home. In some cases a Structure(s) may experience an be removed from the premises. invasion of ants, etc. after the fumigation. Ants are attracted to dead insects. 9. All gas or propane lines to Structure(s) must be shut off at the meter. Please contact your gas company for assistance. Damage Advisory and Risk of Loss Turning gas off and on is the responsibility of the Customer. Gas must be off when fumigator arrives. During the fumigation process, the Structure(s) may experience damage due to preparation required for and the nature of the treatment. Pest 10. Electricity and water must be left on. If there is no electricity or Control Company will not be responsible for damage to roofs (including water available at the time the Structure(s) is scheduled for cracked or broken tiles and shingles), skylights, gutters, antennas and fumigation, the fumigation will have to be rescheduled. satellite dishes (including realignment of same), solar panels or heaters, Note: See rescheduling charge in paragraph 17 below. nor for the lifting of paint that may occur to walls or woodwork when tape is used to seal tarps. Additionally, Pest Control Company is not 11. In order to insure proper fumigation and aeration of your home, responsible for carport, screen enclosures, or metal overhangs that are all cabinets, drawers, and closets must be open a minimum of 4 damaged as a result of the weight of the tarps or by rain and wind inches. Raise blinds, open drapes, and open attic vent. conditions that occur while the Structure(s) is tented. Finally, Pest Fumigator will open windows for fumigation. Windows will Control Company makes no promise, warranty or guarantee that the remain open during fumigation and aeration. Structure(s) and its contents will be secure from vandalism, theft or breaking and entering during the fumigation procedure. Customer 12. All awnings must be lowered. Pest Control Company is not acknowledges Pest Control Company’s recommendation that Customer responsible for stationary awnings. obtain a watchman or guard during the fumigation procedure and aeration period. 13. All fences must be detached from Structure(s). By executing this Preparation for Fumigation List, Customer expressly 14. All grass and plants closer than eighteen (18) inches to the acknowledges this Damage Advisory and accepts the Risk of Loss Structure(s) or vines attached to the Structure(s) must be associated with the potential damage to the Structure(s) outlined above, removed. Grass, plants and tree branches may be damaged or as well as the Risk of Loss associated with any potential vandalism, theft burned. Cut back enough space (approximately 18 inches) to or breaking and entering that occurs to the Structure(s) and/or its allow the tent to fall freely to the ground. Tree limbs over roof contents during the fumigation procedure. must be trimmed back. Rock, gravel, mulch and bark must be eighteen (18) inches from foundation to allow proper seal during The estimated scheduled fumigation date is: ______. fumigating period. Also, before fumigation, heavily water shrubs and plants located alongside structure. Your re-entry date is estimated for: ______.

15. Driveways must be clear of vehicles. In the event of an emergency, please contact Choice Pest Control at 561-582-7500. 16. The law requires that the Structure(s) be locked during the fumigation procedure. Pest Control Company must obtain keys By signing this Preparation for Fumigation List below, Customer to Structure(s) at least 48 hours prior to the start of the acknowledges all duties, conditions, limitations herein and has fumigation. read the Damage Advisory and Risk of Loss associated with the fumigation procedure and the "Fact Sheet for Vikane Gas" on the reverse side.

X______Signature (Print Title, if not owner) Date

______Address City State Zip Code

______Choice Pest Control Representative Date

WHITE - CUSTOMER / YELLOW - OFFICE Revised 7/8/16 FORM#206-J Specialty Products Product Bulletin DOUGLAS PRODUCTS

Fact Sheet for Vikane® Gas Fumigant (Sulfuryl Fluoride) In the interest of Douglas Products commitment to product stewardship, this fact sheet is intended to provide basic information about the product and how it is used. If you have specific questions about your fumigation, refer to documents provided by the fumigator or call the fumigator listed on the warning signs posted on your structure. If you have questions about Vikane gas fumigant (the fumigant used) or the procedures described, call the Douglas Products Customer Information Center at 844-8VIKANE (844-884-5263).

WHY BUILDINGS ARE FUMIGATED Insects that feed or tunnel into wood can seriously damage houses, apartments, and other dwellings or structures. Each year termites or other wood destroying insects damage more than 5 million homes. Other pests, such as bed bugs, may be dispersed throughout rooms and can be difficult to locate and control quickly and completely. Depending on the extent or location of the infestation, fumigation is the only total control method proven to eliminate certain infestations of wood destroying insects, bed bugs, and other structure-infesting pests.

HOW BUILDINGS ARE FUMIGATED Because Vikane is a gas, prior to fumigation, the structure is completely sealed. This serves to contain Vikane in the building so it can penetrate wood and building contents to thoroughly eliminate the pests. Depending on the construction of the building, the doors and windows may be sealed with tape and a plastic sheet, or the structure may be covered with a tarp. The building will remain sealed for 2-72 hours depending on the specifics of the job. Warning signs are posted around the building notifying people to keep out.

After the fumigation period is completed, a professional fumigator will aerate the structure using fans for a prescribed aeration period. Once the dwelling has been thoroughly aerated, the fumigator is required to measure the level of any fumigant remaining in the living space to ensure it is below the EPA approved concentration for reentry by the occupants. Extremely low levels of fumigant can remain for a short period of time in dead air spaces between walls and inside cabinets as well as porous materials such as furniture. The small amount of fumigant in these areas will continue to dissipate for a few hours after the fumigation but at levels well below the established safe reentry concentration. Your building will not be cleared for reoccupancy until it is safe to enter. The fumigator will post a notice on your building indicating the day and time for reentry. Structures can be occupied only when the concentration is 1 part per million or less (this represents a margin of safety – laboratory animals have been exposed to 100 parts per million for 2 weeks with no adverse effects.) Because Vikane is a true gas and not a vapor, aeration is rapid. Recent studies demonstrated that in most structures levels are less than 1 part per million after the prescribed aeration period and have no detectable levels of Vikane within 24 hours after the start of aeration.

Sulfuryl fluoride is a colorless, odorless gas, so a warning agent is added to the building that causes watery eyes and a scratchy throat. If you experience these symptoms in a structure that has been recently fumigated, you should leave immediately and call the pest control company to have your building retested.

SULFURYL FLUORIDE (POTENTIAL HEALTH RISKS FROM OVEREXPOSURE) Sulfuryl fluoride is a gas and can potentially enter your body only through inhalation. Because it is a gas, it does not stay on dry surfaces; therefore, there is no exposure from touching treated surfaces.

Nervous system and respiratory irritation: Overexposure to high levels of sulfuryl fluoride can result in nose and throat irritation and nausea. At high concentrations (such as those used during the fumigation) it can cause excess fluid in the lungs, sleepiness, pneumonia, and convulsions. These symptoms would be expected to appear within 8 hours after such an exposure. In the unlikely event you experience these symptoms in the building that has been recently fumigated, you should leave immediately. Consult your physician and call the pest control company to have your building retested.

Additional studies: Sulfuryl fluoride has not been shown to cause birth defects in pregnant animals exposed under experimental conditions. In addition, current studies have demonstrated there are not mutagenic or genotoxic effects caused by exposure to sulfuryl fluoride.

Safety Precautions and Homeowner Preparation  Discuss the treatment program in advance with your pest control company so you fully understand what will be done and what you need to do.  Carefully follow the instructions you are given about what items you are to remove from your building.  Stay out of the treated building until it is cleared by your pest control company for reentry.  If you are interested or concerned, you should ask your pest control company to show the records of how your building was aerated before it was cleared for reentry.  You may wish to increase ventilation by opening doors and windows.

If you have specific questions about your fumigation, refer to documents provided by the fumigator or call the fumigator listed on the warning signs posted on your structure. Call the Douglas Products Customer Information Center at 844- 8VIKANE (844-884-5263)if you need additional information or have questions concerning this product.

®Trademark of Douglas Products. Vikane is a federally Restricted Use Pesticide.

These materials have been created for Vikane® gas fumigant and no other structural fumigant. The information contained in these materials is based upon the product label and use instructions for Vikane and are not intended for use with other structural fumigants, which will have different product label requirements. These materials may not be copied or reproduced without permission of Douglas Products. U01-069-146 (5/16) BR